39D2317580 CLIA NUMBER - CONCORD HEALTH INTEGRATED PLLC

Laboratory Demographics

  • CLIA Code: 39D2317580
  • Facility Name: CONCORD HEALTH INTEGRATED PLLC
  • Facility Address: 145 BRINTON LAKE RD, SUITE 100
    GLEN MILLS, PA
    ZIP 19342
  • Facility Phone: 646 698-2930
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FENDY JN PIERRE
  • NPI Number: 1336037878
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2317580
LAB Type Physician Office
Facility Name CONCORD HEALTH INTEGRATED PLLC
Street 145 BRINTON LAKE RD, SUITE 100
City GLEN MILLS
State PA
ZIP 19342
Phone 646 698-2930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director DR. FENDY JN PIERRE

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This page was last updated on: 9/29/2025